Designing an Egocentric Video-Based Dashboard to Report Hand Performance Measures for Outpatient Rehabilitation of Cervical Spinal Cord Injury

Top Spinal Cord Inj Rehabil, 2023 · DOI: 10.46292/sci23-00015S · Published: January 1, 2023

Spinal Cord Injury Rehabilitation Research Methodology & Design

Simple Explanation

The study focuses on developing a tool to monitor and improve hand function for people with cervical spinal cord injuries (cSCI) during outpatient rehabilitation. Wearable cameras are used to record hand movements at home, and the data is then presented to clinicians through a dashboard. The goal is to provide clinicians with useful information to help them tailor treatments and track patient progress more effectively.

Study Duration

Not specified

Participants

7 healthcare professionals (clinicians)

Evidence Level

Not specified

Key Findings

1
Clinicians found summaries to interpret graphs, hand posture and activity breakdowns, video snippets, patient notes, and time-series graphing of metrics useful for a dashboard reporting hand performance.
2
Clinicians recognized the dashboard's potential to monitor rehabilitation progress, provide feedback on hand use, and track progress over time.
3
Concerns were raised about the implementation into clinical practice, therefore further inquiry is needed to determine the tool’s feasibility and usefulness in clinical practice for individuals with UE impairments.

Research Summary

This study describes the user-centred development of a dashboard to summarize and report information from wearable cameras worn by individuals with cSCI living in the community to clinicians. HCPs expressed positive sentiments regarding the dashboard; they recognized its potential to monitor rehabilitation progress remotely, provide both quantitative and qualitative feedback on hand use in the patient’s own environment, and visually track progress over time. Our results demonstrate that involving end-users in the design process and breaking down user requirements into user stories allowed us to identify the necessary interface elements for reporting hand performance metrics to clinicians.

Practical Implications

Remote Monitoring

The dashboard allows for remote monitoring of rehabilitation progress, enabling clinicians to track patient hand use in their home environment.

Personalized Feedback

The dashboard provides both quantitative and qualitative data, allowing clinicians to provide personalized feedback and tailor interventions based on a patient's specific needs and progress.

Improved Patient Engagement

The potential development of a patient dashboard could allow patients to track their own progress, upload diary entries, and bolster motivation, ultimately leading to improved engagement in therapy.

Study Limitations

1
Lack of control for the influence of sex/gender on the participants’ feedback.
2
Small sample size of only seven clinicians from one hospital network may limit the generalizability of the findings to a larger population of clinicians and patients.
3
The study did not compare the developed reporting interface with other reporting formats.

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